| NPI | 1437701851 |
|---|---|
| Doing Business As | EAGLE DENTAL |
| Entity Type | Organization |
| Authorized Contact | BRIAN HOWELL Owner 405-513-8516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2019-07-15 |